DAVID CARTER WALLACE DO
NPI 1396364402
Internal Medicine - Nephrology in Northridge, CA
About David Carter Wallace Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID CARTER WALLACE DO (NPI 1396364402) is an individual nephrology provider in Northridge, California, licensed in California (20A25571) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David Carter Wallace Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohio State University State Health System
Acute Care Hospitals · Columbus, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91325 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTHRIDGE, CA 91325
NORTHRIDGE, CA 91325
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Wallace's NPI number?
The NPI number for David Wallace is 1396364402. It was assigned to this individual provider in the NPPES registry on April 9, 2020.
Where is David Wallace located?
David Wallace practices at 18250 Roscoe Blvd, Northridge, CA 91325. The listed phone number is (818) 796-2920.
What is David Wallace's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is David Wallace enrolled in Medicare?
Yes. David Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does David Wallace accept?
Health plans from CareSource and Molina Healthcare list David Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is David Wallace affiliated with any hospitals?
According to CMS data, David Wallace is affiliated with Ohio State University State Health System.
When was this NPI record last updated?
The NPPES record for David Wallace was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# David Carter Wallace, DO · NPI 1396364402
Nephrology physician in Northridge, California. Individual provider, active in the CMS NPPES registry since April 9, 2020.
## Identity
- **NPI:** 1396364402 (Entity type: Individual)
- **Enumerated:** April 9, 2020
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 20A25571 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 18250 ROSCOE BLVD, Northridge, CA 91325-4226
- **Phone:** (818) 796-2920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2020
## Record status
- **NPPES last updated:** July 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396364402) · Data from the CMS NPPES public registry.